ArticleGeriatric orthopaedic surgery & rehabilitation2016
Evaluation of Contemporary Trends in Femoral Neck Fracture Management Reveals Discrepancies in Treatment.
Article in Geriatric orthopaedic surgery & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Comparison of functional outcome of bipolar hip arthroplasty and total hip replacement in displaced femoral neck fractures in elderly in a developing country: a 2-year prospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Trial
- A study on the trajectory of change and influencing factors of care dependence in elderly patients during hospitalization after total hip arthroplasty.BMC nursing · 2026Article
- Routine Early Post-operative X-Ray Following Partial Hip Replacement After Femoral Hip Fracture Is Unjustified: A Retrospective Study.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Sociodemographic Differences in the Epidemiology and Management of Osteoporosis-Related Vertebral Fractures.Current osteoporosis reports · 2025Review
- Comparison of the Piriformis-Sparing and Posterolateral Approaches in Cementless Hemiarthroplasty for Femoral Neck Fractures.Hip & pelvis · 2025Article
- Social determinants of health in patients undergoing hemiarthroplasty: are they associated with medical complications, healthcare utilization, and payments for care?Archives of orthopaedic and trauma surgery · 2023Article
- Proximal hip fractures in 71,920 elderly patients: incidence, epidemiology, mortality and costs from a retrospective observational study.BMC public health · 2023Observational
- Epidemiology and Management of Proximal Femoral Fractures in Italy between 2001 and 2016 in Older Adults: Analysis of the National Discharge Registry.International journal of environmental research and public health · 2022Article
- The management of displaced femoral neck fractures: a narrative review.EFORT open reviews · 2021Review
- National trends in total hip arthroplasty for traumatic hip fractures: An analysis of a nationwide all-payer database.World journal of orthopedics · 2020Article
- Trends in surgical treatment of femoral neck fractures in the elderly.Einstein (Sao Paulo, Brazil) · 2018Article
- Preoperative Factors Influencing Decision Between Hemiarthroplasty and Total Hip Arthroplasty in Femoral Neck Fractures in Indian Patients-Retrospective Single-Center Study.Geriatric orthopaedic surgery & rehabilitation · 2017Article
- Disparities in Total Hip Arthroplasty Versus Hemiarthroplasty in the Management of Geriatric Femoral Neck Fractures.Geriatric orthopaedic surgery & rehabilitation · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent evidence supports total hip arthroplasty (THA) as compared to hemiarthroplasty (HA) for the management of displaced femoral neck fractures in a significant subset of elderly patients. The purpose of this study was to examine trends in femoral neck fracture management over the last 12 years.
methodsUsing the National Inpatient Sample database, we identified patients treated for femoral neck fractures between 1998 and 2010 with THA, HA, or internal fixation (IF). We examined treatment trends and demographic variables including patient age, gender, socioeconomic status, and payer and hospital characteristics.
resultsWe identified 362 127 femoral neck fracture patients treated between 1998 and 2010. Overall, there were statistically significant increases in rates of THA and HA, whereas rates of IF decreased. Total hip arthroplasty varied based on patient age, with significant increases occurring in age-groups 0 to 49 years, 50 to 59 years, 60 to 69 years, and 70 to 79 years. Utilization of THA varied significantly based on socioeconomic status and race. Patient sex, urban versus rural hospital location, and teaching versus nonteaching hospital status were not related to rates of THA.
conclusionRates of THA for femoral neck fractures increased between 1998 and 2010 in patients younger than 80 years, suggesting that surgeons are responding to clinical evidence supporting THA for the treatment of elderly femoral neck fractures. This is the first study to demonstrate this change and expose disparities in practice patterns over time in response to this evidence in the United States. Further research is indicated to explore the effect of socioeconomic status and race on femoral neck fracture management.
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